We have analyzed the 5'-flanking region of one of the genes coding for the human acute-phase protein, serum amyloid A (SAA). We found that SAA mRNA could be increased fivefold in transfected cells by treatment with phorbol 12-myristate 13-acetate (PMA). To analyze this observation further, we placed a 265-base-pair 5' SAA fragment upstream of the reporter chloramphenicol acetyltransferase (CAT) gene and transfected this construct into HeLa cells. PMA treatment of these transient transfectants resulted in increased CAT expression. Nuclear proteins from PMA-treated HeLa cells bound to this DNA fragment, and methylation interference analysis showed that the binding was specific to the sequence GGGACTTTCC (between -82 and -91), a sequence previously described by R. Sen and D. Baltimore (Cell 46:705-716, 1986) Human serum amyloid A (SAA) is a major acute-phase reactant produced mainly by the liver. During periods of inflammation and tissue damage, serum levels of SAA can increase by up to 1,000-fold. SAA is also the precursor peptide of the amyloid A protein subunit of amyloid fibrils in secondary, or reactive, amyloidosis (24). Insoluble fibrils are deposited extracellularly in multiple organs, compromising their normal function. This is a serious complication of chronic or recurrent inflammatory conditions, e.g., juvenile chronic arthritis, in which persistently high serum levels of SAA are found. More than one human SAA gene exist (16,25,41), and in mice three active SAA genes and a pseudogene have been described (29,51). Both human and murine SAA gene expression can be induced by the cytokines interleukin-1 (IL-1) and tumor necrosis factor (39,49 (42). DNA fragments from the 5'-flanking region of the SAA genomic clone, SAAg9 (49), were subcloned into M13mpl8 and -mpl9 and sequenced by using sequence-specific oligonucleotides generated on an Applied Biosystems automated nucleotide synthesizer.Plasmid-constructions. A 265-base-pair (bp) Sau3A DNA fragment, from the promoter region and 33 bp of the first exon of the human SAA gene, was cloned between the BglII-BamHI sites of the vector, pTK.CAT3 (31). This construct contains the entire CAT gene, and the thymidine kinase promoter has been replaced with the SAA 5'-flanking region. As a control, the thymidine kinase promoter was deleted from pTK.CAT3 with BglII-BamHI. The subsequent constructs, OCAT/265 and OCAT, were used to study PMA inducibility conferred on the CAT gene by the SAA promoter region.The 265-bp promoter fragment was also cloned into the BamHI site of the vector pBluescriptSK, generating plasmid 9-2. This vector contains both T3 and T7 promoters flanking the cloned insert, and it was used to generate both codingand noncoding-strand cRNA probes used for RNase mapping.Wild-type (AGGGACTTTCC) and mutant (ACTCACTT TCC) NFKB-binding sequences from the human immunodeficiency virus type 1 (HIV-1) long terminal repeat (LTR) (32), cloned into plasmid pGEM, were kindly provided by G. Nabel for cotransfection-competition studies.Cell lines and DNA transfections....